Individual
SUSAN FREDERICA DAVIS-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
950 SALEM ST, BROOKVILLE, OH 45309-8227
(937) 833-1621
(937) 833-5359
Mailing address
950 SALEM ST, BROOKVILLE, OH 45309-8227
(937) 833-1621
(937) 833-5359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35072835
OH
208000000X
Pediatrics Physician
Primary
35072835
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019194
—
OH
Enumeration date
09/14/2005
Last updated
03/17/2018
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